Chronic pulpitis: symptoms, treatment, history

The symptoms of chronic pulpitis have a number of features, the same is true of the treatment of this disease, judging from the medical history of patients.

It is accompanied by severe pain in the affected area, so it is important to know about its classification and diagnosis.

What kind of disease?

Pulpitis is inflammation of the neurovascular bundle that is located inside the dental crown and roots of tooth. Occurs when the acute phase of the disease could not be properly cured. Chronic form is characterized by a long but flaccid inflammatory processes.

It should be noted that a completely unnecessary factor in the appearance of the disease is the acute form of the disease. Self-development does not happen too often and in this case the patient is not always time to notice the problem with the affected tooth.


The etiology of chronic pulpitis has been well studied. Why does it occur?

  • damage to the tooth surface with caries — malicious microorganisms gain access to the neurovascular bundle, causing inflammation.
  • serious injury of the tooth, which led to the discovery of the dental crown and penetrate of the infection.
  • dental errors during the treatment: too rough treatment of a diseased tooth; the impact of medical chemistry; violation of thermal standards for dental procedures; after treatment of caries under the seal can be struck by particles of the tissues; the introduction of a variety of medicines, and their subsequent exposure to the pulp.
  • violation of the organic composition of teeth.
  • the effect of different orthodontic systems on the condition of the tooth surface.

As practice shows, most often the emergence of the disease contributes not one factor, but several.

Types and forms

The classification is based on causes and shape the natural course of chronic pulpitis. The doctors there are the following types of diseases:

  1. Hypertrophic or hyperplastic — does not occur too often. Are characterized by significant destruction of the tooth crown, the presence of a hypertrophied, overgrown pulp. It should be noted that the pain in this case is virtually absent, and the affected tooth does not cause great discomfort.
  2. Fibrous or simple — often occurs as a transitional stage of pulpitis (in the transition from acute to chronic form of the disease). Characterized by significant sensitivity to any stimuli.
  3. A gangrenous or ulcerous — the pulp is formed ulcers, the pain appears spontaneously and only if the action of stimuli. Most often, the tooth affected ulcerative chronic pulpitis, is suffering from decay in the late stages. When the dentist reveals a cavity, finds the pulp with a characteristic necrosis color.
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From the point of view of further progression of the disease, the greatest danger is fibrous (simple) and gangrenous (ulcerative) pulpitis. Due to the presence of additional factors (injuries of the affected tooth, the effect of temperature, infection) can happen aggravation, then there will be considerable soreness on the affected area.

Photos and x-rays

For more confidence you can talk about chronic pulpitis, it is necessary to know what he looks like. For this we offer you to familiarize with the photos and radiographs:


Chronic forms of pulpitis are a number of characteristic features. Often patients have complaints:

  • considerable tenderness to percussion (tapping) on the tooth;
  • pain in the later stages of the disease is pulsating and persists for a long time, even after the elimination of its cause;
  • tooth worrying at night or after thermal exposure.

In the absence of timely treatment, the disease may go into an acute form. In this case, patients will complain of spreading pain on a facial nerve, and when tapped on the tooth pain does not occur. The pain is periodic in nature, can be as aching and throbbing.

Without proper treatment in the pulp of the tooth may develop abscess, the infection will spread much faster throughout the pulp, leaving her healthy tissues. The patient will feel a sharp tearing pain in the problem tooth.

Video: on the pulpit in the program «Live healthy» Elena malyshevoy


  1. To determine whether the dentist needs to establish the frequency and causes of pain.
  2. The doctor will examine the surface of the problem tooth, but if you install the visual pulpitis fails, then the patient is sent for chest x-ray, often use EDI (electrodiagnostics).
  3. Depending on the specific case the dentist can help and medical history, heard from the patient, but patients are not always tied to pain it to the problem tooth. Thus, the most positive result gives a differential diagnosis.
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It is best to contact your personal dentist who is already familiar with the problem areas of your oral cavity and much faster to establish the cause of pain and prescribe treatment. Speed of diagnosis is very important in cases of high pain and serious discomfort.

Exacerbation of chronic pulpitis

With insufficient treatment of chronic pulpitis it is able to worsen the patient feels pain that is coming in stages, bouts.

  • the pain spread to neighbouring tissue;
  • the pulp of the tooth is almost completely covered by inflammation;
  • chewing of function of the affected tooth has been violated;
  • disturbed structure of other tissues;
  • can be opened tooth cavity;
  • the complexity of diagnosis — patients are unable to point out the problematic tooth due to the fact that pain spreads all over the facial nerve.

Treatment of chronic pulpitis

The most effective method of treatment is removal of the tooth nerve and pulp, this action is performed in different ways:

  • at high pain removal is performed under local anesthesia;
  • at a more benign form of the disease, the pulp and nerve are removed after the use of special medical devices.

The above-described method is based on surgical intervention to remove the intact pulp, then the tooth cavity and channels are sealed.

► To treat a chronic pulpitis it is possible and conservative method.

It is based on the need to preserve healthy parts of the pulp of the patient, which are necessary for proper metabolism in the tooth. The method is used at early stages of the disease, in the case when destructive processes are still reversible.

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The dentist treats the affected surface with special medical funds for this purpose, various preparations depending on the nature of the problem (antibiotics, antiseptics). It is very important that funds not hurt the healthy part of the pulp.

The final stage of treatment is the filling of the dental cavity. After installing the seals, check the condition of tooth by x-rays, with special attention to quality of filling of dental root canals.

Video: the defeat of a tooth with pulpitis.


What you need to do to avoid chronic pulpitis? Some recommendations:

  • thorough and meticulous care of the oral cavity;
  • regular consultations at the dentist (2 times per year);
  • after the installation of the seals is necessary to monitor their condition, and when the first symptoms should go to the dentist.

In any case, you should not delay the visit to the doctor in case symptoms appear. The fact that the pulpit can not only cause serious discomfort, but also lead to more complicated diseases.

Further questions

► Code for ICD-10?

According to the International classification of diseases, chronic pulpitis, see «diseases of pulp and periapical tissues» and has the code K04.0

► Is it possible to cure chronic pulpitis folk remedies?

Treatment at home is impossible. Moreover, any means can do serious harm to the patient and only increase painful sensations. Sometimes the traditional methods used to relieve pain before the visit to the dentist, but this is not recommended.